JOHN RICHARD WISNIEWSKI JR.
NPI 1497605901
Student in an Organized Health Care Education/Training Program in Lewiston, ID

Active since February 03, 2026PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Richard Wisniewski Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN RICHARD WISNIEWSKI JR. (NPI 1497605901) is an individual student in an organized health care education/training program in Lewiston, Idaho and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497605901
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN RICHARD WISNIEWSKI JR.
Location Address1331 G STLewiston, ID 83501-1964
Mailing Address721 Brent DrMoscow, ID 83843-8519 · (352) 293-6225
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1497605901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1331 G ST, Lewiston, ID 83501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Richard Wisniewski Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305312885
PECOS Enrollment IDI20260421003906
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1331 G ST
LEWISTON, ID 83501
Nurse Practitioner (Family)
1331 G ST
LEWISTON, ID 83501
Nurse Practitioner (Family)
1331 G ST
LEWISTON, ID 83501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wisniewski's NPI number?

The NPI number for John Wisniewski is 1497605901. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is John Wisniewski located?

John Wisniewski practices at 1331 G St, Lewiston, ID 83501. The listed phone number is (208) 743-9616.

What is John Wisniewski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Wisniewski enrolled in Medicare?

Yes. John Wisniewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Wisniewski affiliated with any hospitals?

According to CMS data, John Wisniewski is affiliated with St Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Wisniewski was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.